NPI | 1386001576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129777) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129777) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2025-08-24 |